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<br />APPLICANT <br /> <br /> <br />APPLICATION FOR PE~lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br />1 <br /> <br />ADDRESS <br /> <br />2/3' 9; 7 'Jt7tl. f/ <br /> <br />OWNER <br />JOB LOCATION 3 X' 0 ').. 7 ---!; ~ k--( <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />LOT SIZE_____~ AREA SQ,FT. <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D,~F <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _InstaLL <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_IF of Units <br /> <br />,_M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim, Pool <br /> <br />Other <br /> <br />.~ <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />~, <br /> <br />Square Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S.~~ <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_E~RICAL <br />~T;;!TT . <br />_MECHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_\"R,E.C, <br /> <br />$ <br /> <br />:3'001] <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLtTMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT, <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist, # <br />City License Registration # <br />***************************************~** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />Company <br />Stat~, Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />PLUMBER Company <br />State Cert, or Regist, # <br />Signature City License Registration ~ <br />**********************fr******************* , , <br /> <br />!lECllAN~ . companY~('4<y' :jW'~<<~ ~ ~ . <br />.#d~ State Cert, or Regist, IF }'(~t.JCJ .j;;~ <br />Signature .- yV- ~ City License Registration " '7~ ~ <br />****************************************** <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist, # <br />City License Registration # <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER, <br />